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Related Experiment Video

Updated: Jan 11, 2026

Rat Model of Photochemically-Induced Posterior Ischemic Optic Neuropathy
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Dual ROCK1/2-MYLK4 Kinase Inhibition Preserves Visual Function in a Rat Model of Neuromyelitis Optica Spectrum

Chin-Te Huang1,2,3, Monir Hossen1, Tu-Wen Chen1

  • 1Institute of Eye Research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan.

Cells
|November 13, 2025
PubMed
Summary

A novel kinase inhibitor, ITRI-ES, effectively treated optic neuritis in a Neuromyelitis Optica Spectrum Disorder (NMOSD) rat model. This treatment preserved visual function and retinal ganglion cells, offering a promising new therapeutic avenue for NMOSD patients.

Keywords:
neuroinflammationneuromyelitis opticaoptic neuritisprotein kinase inhibitorsretinal ganglion cells

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Pharmacology

Background:

  • Neuromyelitis Optica Spectrum Disorder (NMOSD) is characterized by severe optic nerve inflammation and vision loss.
  • Current therapeutic options for NMOSD are limited, necessitating the development of novel treatment strategies.
  • This study investigates ITRI-E-(S)4046 (ITRI-ES), a dual ROCK1/2 and MYLK4 kinase inhibitor, for NMOSD optic neuritis.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of ITRI-ES in a rat model of NMOSD-induced optic neuritis.
  • To assess the impact of ITRI-ES on visual function, retinal ganglion cell survival, and optic nerve inflammation.

Main Methods:

  • NMOSD-like optic neuritis was induced in rats using NMOSD patient serum-soaked sponges.
  • Rats received intravitreal injections of ITRI-ES, phosphate-buffered saline (PBS), or methylprednisolone (MP).
  • Visual function (fVEP), retinal ganglion cell (RGC) survival and apoptosis, and optic nerve inflammation/demyelination markers were analyzed.

Main Results:

  • ITRI-ES significantly preserved visual function and RGC density, while reducing RGC apoptosis compared to PBS.
  • ITRI-ES treatment maintained higher levels of aquaporin-4 (AQP4) and myelin basic protein (MBP), and suppressed glial fibrillary acidic protein (GFAP).
  • ITRI-ES reduced key inflammatory markers (NF-κB, IL-1β, TNF-α) and promoted anti-inflammatory markers (Arg1, CD206).

Conclusions:

  • ITRI-ES effectively alleviates optic nerve inflammation and preserves retinal integrity in NMOSD optic neuritis.
  • The dual kinase inhibitor ITRI-ES demonstrates significant neuroprotective effects and maintains visual function.
  • Kinase inhibition represents a promising therapeutic strategy for managing NMOSD-associated optic neuritis.